Case Presentation: A 60-year-old man presented with several days of diarrhea, fevers, and syncope. Past medical history was significant for recurrent syncopal episodes, all of which occurred during febrile illnesses. Review of systems was negative for chest pain or other cardiac symptoms. His vital signs were normal except for a temperature of 39°C. ECG showed [...]

Case Presentation: Cryptococcus is known for causing meningoencephalitis in immunocompromised individuals. We present a case of cryptococcal infection outside the central nervous system in a relatively immunocompetent host. A 77 year-old male who immigrated from India at twenty years of age, with history of polycythemia vera, initially presented with hoarseness, occasional non-productive cough, weight loss [...]

Case Presentation: A 63-year-old woman presented with a 4-day history of progressive dysphagia, first to solid food, then to liquids and oral secretions. She endorsed hoarseness and mild lateral neck and chin pain, but denied trauma, headache, neck stiffness, and rash. Her past medical history included gastroesophageal reflux and remote esophageal erosions with normal follow-up [...]

Case Presentation: A 54 year-old woman with a past medical history of hypertension and Type 2 diabetes mellitus treated with metformin and canagliflozin presented to the hospital with lethargy and malaise. She reported that her blood glucose was stable over the past 2 weeks with fingerstick glucoses ranging from 100-130mg/ dL. She had been vomiting [...]

Case Presentation: 59 year old man with past medical history of renal cell carcinoma, with right nephrectomy 20 years ago, presented to the Emergency Department with fever and dysuria. Upon presentation, he was found to have a oral temperature of 102.0 F, a tender prostrate on exam and leukocytosis with neutrophilia suggestive of acute bacterial [...]

Case Presentation: A 34 year-old male fence installer presented with one week of progressively severe headache. His headaches were associated with blurred vision, dizziness, fevers and nausea. He had been seen previously and was treated for sinusitis but his symptoms did not improve with a steroid taper and antibiotics. He developed lethargy and mild confusion, [...]

Case Presentation: A 61 year-old female presented with nausea, vomiting, and upper abdominal pain 18 hours after ingesting local wild mushrooms. Initially, her physical exam was benign, including a normal abdominal exam. Her laboratory results were unremarkable and vital signs were stable; however, she was unable to tolerate oral intake, and was thus admitted for [...]

Case Presentation: A 59-year-old African-American female presented to our hospital with fatigue, exertional dyspnea and dark cola colored urine for two weeks. She was diagnosed with RRMS in 2009 and had been taking IFN-β since then with good response and no complications. Family history was significant for colon cancer in her mother, but no hematologic [...]

Case Presentation: A 74-year-old African-American woman presented to our Emergency Department with hemoptysis and severe respiratory distress. Two weeks prior to presentation, she was admitted with persistent cough and blood streaked sputum of 1-month duration and was treated with antibiotics for a presumptive diagnosis of pnemonia after a negative bronchoscopy and bronchoalveolar lavage (BAL). Her [...]

Case Presentation: Case Presentation:A 64-year-old woman presented with a year of night sweats and a four-month history of thirty-pound weight loss and mental fogginess. She was febrile and hypotensive, appearing thin and weak, with cervical lymphadenopathy. Prior outpatient workup included EGD showing Barrett’s esophagus, elevated alkaline phosphatase and ferritin, positive HFE gene carrier status, and [...]